Organization Active NPI

William a Shaver, MD PA

  • Specialist
  • Lubbock, TX
National Provider Identifier
1275714479
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G0104 Issued in TX
Legal business name
WILLIAM A SHAVER, MD PA
Practice address
2405 Broadway
Lubbock, TX 79401-2918
Phone
(806) 799-3644
Fax
(806) 791-3204
NPI assigned
Nov 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William A Shaver, MDNPI 1598721938
Title
Owner
Phone
(806) 799-3644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G0104 TX Primary

Addresses

Primary practice location

2405 Broadway
Lubbock, TX 79401-2918

Mailing address

2405 Broadway
Lubbock, TX 79401-2918
Phone (806) 799-3644

Other identifiers 1

IdentifierTypeStateIssuer
00365NOtherTXMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

2405 Broadway
Lubbock, TX 79401
Phone (806) 799-3644

3702 21st St
Ste 201
Lubbock, TX 79410
Phone (806) 799-3644

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1275714479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 BROADWAY",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794012918",
            "telephone_number": "806-799-3644",
            "fax_number": "806-791-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 BROADWAY",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794012918",
            "telephone_number": "806-799-3644",
            "fax_number": "806-791-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A SHAVER, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "SHAVER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-799-3644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G0104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "00365N",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.